Year: 2025
Type: article
Study design: Case Report
Abstract: Mycoplasma pneumoniae (MP) pneumonia remains a significant concern in paediatrics, commonly presenting with prolonged fever, cough, lethargy, and respiratory distress. A recent global resurgence of MP pneumonia post Covid-19 pandemic with macrolide resistant MP posed a major treatment challenge. In this case series, five out of six patients required oxygen, while two developed necrotizing pneumonia and one had bronchiolitis obliterans as a sequelae of MP pneumonia. Recent rise in severe and refractory MP pneumonia highlights the need for improved diagnostic and resistance testing, particularly through rapid polymerase chain reaction (PCR) methods. Timely identification and intervention of severe infection is important to avoid sequelae. Management should include appropriate antibiotics, supportive care, and corticosteroids when indicated. Severe cases may require early referral to a paediatric intensive care unit, as well as input from infectious disease and pulmonology specialists.
Authors: Noor Diana Ashaari Muhamad, Shazreen@Fatihah Shaari, Nik Khairulddin Nik Yusoff
Institution: Hospital Raja Perempuan Zainab II
Language: English
Subfield: Microbiology
Field: Immunology and Microbiology
Domain: Life Sciences
Open Access status: diamond
OpenAlex ID: W4413867231